| NPI | 1396225793 |
|---|---|
| Former Name | REBECCA ANNE REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.023452) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2021-06-02 |